| NPI | 1083598767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA SHOULDERS Cranial Prosthesis Specialist 423-287-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |